Note: The job is a remote job and is open to candidates in USA. Randstad Digital Americas is recruiting for a Provider Data Management Analyst 1 to support provider data integrity across assigned state markets. The role handles provider enrollment, data updates, validation, quality checks, and discrepancy resolution for claims processing and provider directories.

Responsibilities

• Perform provider data analysis, enrollment, and system updates to ensure data accuracy for claims processing and provider directories
• Enroll providers and practitioners into provider data management systems following contract guidelines
• Update provider demographic, claims payment, and directory information based on incoming internal requests
• Conduct data analysis using internet sources and internal applications to validate record completeness
• Perform quality service checks on systemic data, claims processing rules, and directory listings
• Research and resolve provider data discrepancies to support assigned state market teams

Skills

• High School Diploma or GED required
• 1+ years of data entry, data analysis, or customer service experience
• Strong proficiency in Microsoft Office, with emphasis on MS Excel data manipulation
• Exceptional organizational capabilities, system adaptability, and attention to detail
• Years of experience: 2 years
• Experience level: Experienced
• Associate's degree or college coursework preferred
• Preferred experience in healthcare operations, claims, billing, provider relations, or credentialing

Benefits

• Fully remote position
• Medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility)

Company Overview

Company H1B Sponsorship